Individual
MR. JIN WOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2017 S. JEFFERSON ST. 1ST FLOOR, ROANOKE, VA 24014
(540) 981-8025
Mailing address
2017 S. JEFFERSON ST. 1ST FLOOR, ROANOKE, VA 24014
(540) 981-8025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
07/26/2024
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